Individual
HEATHER NICOLE KNUTSON
Active
Individual
HEATHER NICOLE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
NP672A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 672A
NP LICENSE
ID
01
—
P00748833
RAILROAD MEDICARE 08/01/09
ID
Enumeration date
07/14/2005
Last updated
11/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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